Organization
CHANGING BEHAVIORS COUNSELING AGENCY, LLC
Active
Other names
Genuine Hearts Treatment Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA R RYE MS, NCC, LPC, LAC (FOUNDER/CEO)
(318) 232-8132
Entity
Organization
Contact information
Practice address
2400 TEXAS AVE UNIT 37776, SHREVEPORT, LA 71133-5083
(318) 709-9933
(318) 670-8683
Mailing address
PO BOX 37776, SHREVEPORT, LA 71133-7776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3647958
—
LA
Enumeration date
01/16/2020
Last updated
07/25/2024
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